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Herpes
Herpes
Genital herpes is a chronic, lifelong viral infection. An estimated
40 million people have it. Each year, about 500,000 new people
get symptomatic herpes. There are even more people who have
no symptoms.
Symptoms
Symptoms vary. Most people have no noticeable symptoms. If
you do get symptoms, you'll probably notice them 2 to 20 days
after having sex with someone who is infected. Early symptoms
may include a burning sensation in the genitals, lower back
pain, pain when urinating, and flu-like symptoms. A few days
later, small red bumps may appear in the genital area. Later,
these bumps can develop into painful blisters, which then
crust over, form a scab, and heal.
Testing
Sometimes the diagnosis can be made by physical examination
alone. For testing, the doctor will collect a small amount
of fluid from the sores and send it to a lab to see if the
herpes virus is present. Testing for Herpes may take up to 2 weeks to get
the results. If no sores are present, testing may be difficult.
At present, a blood test for herpes is available only in a
few research centers.
Treatment
Although herpes is a chronic, lifelong viral infection, you
can treat the symptoms. Treatment of genital herpes outbreaks,
especially when started early, shortens the duration of the
outbreak and reduces the symptoms. The drugs used are acyclovir
and, more recently, famcyclovir and valacyclovir.
Prevention
You can get and spread herpes through oral, anal and vaginal
sex. Preventing the spread of herpes means approaching sexual
relationships responsibly: limit the number of your sex partners,
use condoms, and if you think you
are infected, avoid any sexual contact and visit a local sexually
transmitted disease (STD) clinic, hospital, or your doctor.
Remember that many genital herpes infections are spread by
people with no noticeable symptoms. You also can get the herpes
virus from kissing, touching, and caressing infected areas.
In cases where people have more than six outbreaks a year,
preventative (prophylactic) suppressive therapy is available.
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